The authors have no funding, financial relationships, or conflicts of interest to disclose.
Head and Neck
Microvascular cricoid cartilage reconstruction with the thoracodorsal artery scapular tip autogenous transplant†
Article first published online: 12 DEC 2011
Copyright © 2011 The American Laryngological, Rhinological, and Otological Society, Inc.
Volume 122, Issue 2, pages 282–285, February 2012
How to Cite
Chanowski, E. J. P., Haxer, M. J. and Chepeha, D. B. (2012), Microvascular cricoid cartilage reconstruction with the thoracodorsal artery scapular tip autogenous transplant. The Laryngoscope, 122: 282–285. doi: 10.1002/lary.22386
- Issue published online: 23 JAN 2012
- Article first published online: 12 DEC 2011
- Manuscript Accepted: 16 SEP 2011
- Manuscript Revised: 9 SEP 2011
- Manuscript Received: 10 JUN 2011
- Thoracodorsal artery scapular tip transplant;
- scapular angle;
- scapular tip;
- cricoid cartilage;
- cricoid reconstruction
Conservation laryngeal surgery has been limited by difficulties with partial resection of the cricoid. Numerous options have been suggested that include temporoparietal flaps, free cartilage grafts, radial forearm free tissue transfers, and tracheal autotransplantation with vascular carriers. The authors present a one-stage procedure for the reconstruction of the cricoid cartilage based on the thoracodorsal artery scapular tip (Tdast) autogenous transplant that uses the curved tip of the scapula and does not create a secondary tracheal defect. Because the Tdast is a vascularized graft it may withstand radiation treatment.